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Montana rates for HCPCS L3225

Orthopedic footwear, man's shoe, Oxford, used as an integral part of a brace (orthosis)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.04 / $293.18 / $293.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.54 / $96.53 / $96.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.54 / $78.50 / $96.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.49 / $91.93 / $96.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.54 / $72.45 / $96.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.36 / $38.02 / $58.18